A1 Flagpole Order Form

A1 Flagpole Order Form		Included with each Telescoping Pole order will be a 3" gold finish ball top, and a 3' x 5' Nylon American Flag with embroidered stars
Print out this form and along with your money order Mail To:
A1 Flagpoles, P.O. Box 13, Brookville, Ohio 45309
Quantity	Description/Color	Your Cost	Subtotal

	16' Anodized Aluminum Finish Flagpole	$198.00 ea.
	20' Anodized Aluminum Finish Flagpole	$ 225.00 ea.
	20' Anodized Bronze Finish Flagpole	$ 225.00 ea.
	Anodized White Baked Enamel Flagpole	$ 225.00 ea.
	Deluxe 6' Flagpole Set	$ 85.00. ea.
Optional Accessories
	Aluminum Wheel Stand for 16' Flagpole	$ 65.00 ea.
	Aluminum Wheel Stand for 20' Flagpole	$ 65.00 ea.
	Deck Mount 16' Flagpole, Vertical Mount	$ 65.00 ea.
	Deck Mount 16' Flagpole, Horizontal Mount	$ 65.00 ea.
	Deck Mount 20' Flagpole, Vertical Mount	$ 65.00 ea.
	Deck Mount 20' Flagpole, Horizontal Mount	$ 65.00 ea.
	12" Gold Finish Eagle Top For Telescoping Pole	$ 65.00 ea.
	Flagpole Travel Bag	$ 65.00 ea.
	Additional 3' x 5' American Flag	$ 35.00 ea.
		Subtotal
		FREE Shipping	$ 00.00
		Grand Total

Shipping Information

Bill To:	Name:	Ship To: (If Different)	Name:
	Address:		Address:
	City:		City:
	State:		State:
	Zip Code:		Zip Code:
	E-Mail Address:		E-Mail Address
	Phone Number:		Phone Number

You can expect to receive your order in 2 to 3 weeks. If you have noted a E-Mail address you will receive a confirmation of your order within 48 hours.
Thank you for your business. If your have any questions you may contact us at lbell4@verizon.net